1. Which one is not a clinical presentation in Guillain Barre Syndrome?
Weakness and paresthesias
2. CSF with an increased level of proteins +/- pleocytosis, and diffuse demyelination in nerve conduction studies are seen in:
Amyotrophic Lateral Sclerosis
3. 40 yo man comes to the ED with progressive weakness and paresthesias in his legs, later in his arms over the last few days. In the Physical Exam is seen: SO2 90% (FiO2 21%), slightly dyspneic, lungs clear to auscultation bilaterally, Strength 3/5 in LE bilateral, 4/5 UE bilateral, areflexia in LE bilateral. The patient refers to an episode of diarrhea 3 weeks ago. What is the best initial step?:
O2+ monitor Peak Inspiratory Pressure and Vital capacity
Nerve conduction studies
4. 60 yo man presents with progressive swallowing impairment over the last 15 days, associated with weight loss. Also refers to weakness in his right hand later in his left hand that appeared 2 months ago. Denies pain, fever, night sweats, changes in bowel movements, urinary incontinence, paresthesias, tingling. PE fasciculations in tongue, weakness in UE and LE bilateral, atrophy in LE bilateral, Babinski + bilateral. Which of the following delay disease progression?
5. In the previous case, this medical condition is characterized for the following, except:
It is a progressive degenerative disease of both upper and lower motor neurons.
Associated with recent Campylobacter jejuni infection.
Paresthesias and autonomic dysregulation
B and C